| Michael Waudo Wangia, MD | |
|
1991 Daniels Rd, Winter Garden, FL 34787 | |
| (407) 395-3770 | |
| (407) 395-3779 |
| Full Name | Michael Waudo Wangia |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 17 Years |
| Location | 1991 Daniels Rd, Winter Garden, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548495955 | NPI | - | NPPES |
| 009500800 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | ME112379 (Florida) | Secondary |
| 207N00000X | Dermatology | ME112379 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Florida Institute Of Dermatology Llc | 1557690591 | 6 |
| Entity Name | Florida Institute Of Dermatology Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356906358 PECOS PAC ID: 1557690591 Enrollment ID: O20190917001227 |
| Entity Name | Willnath Medical Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881349611 PECOS PAC ID: 9638564586 Enrollment ID: O20220311001917 |
| Entity Name | Florida Dermatology Specialists, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164140521 PECOS PAC ID: 5890163182 Enrollment ID: O20221117000585 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Waudo Wangia, MD 600 Village Square Xing, Palm Beach Gardens, FL 33410-4543 Ph: (561) 693-0540 | Michael Waudo Wangia, MD 1991 Daniels Rd, Winter Garden, FL 34787 Ph: (407) 395-3770 |
Elizabeth Vidal, PA-C Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4020 Winter Garden Vineland Rd Ste 101, Winter Garden, FL 34787 Phone: 407-993-6120 | |
Dr. Nneamaka Ukatu, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1991 Daniels Rd, Winter Garden, FL 34787 Phone: 407-395-3770 Fax: 407-395-3779 |